Community Well California

LBN: Community Well California
Community Well California is an health care organization with primary practice located at 626 W Lancaster Blvd # 61 , Lancaster CA 93534-3108. The organization recently has only one registered license in Agencies / Supports Brokerage, which is considered as the primary health care specialty. Community Well California can be contacted via phone (909) 990-1155, or through Porter, Jennifer R via phone (909) 419-9278.

Contact Information

Primary practice address
626 W Lancaster Blvd # 61 Lancaster CA 93534-3108
Phone: (909) 990-1155
Fax: (424) 361-7766
Website:
Map and Directions
Authorized official contact:
Name: Porter, Jennifer R
Phone: (909) 419-9278

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1679338578
LBN Legal business name Community Well California
DBA Doing business as
Authorized official Porter, Jennifer R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2024
Last updated Oct 29th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679338578 NPPES
California MEDICAID 1700657038
California MEDICAID 1114749306

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